Pediatric Pyogenic Sacroiliitis: Case Report and Literature Review
Abstract
Osteoarticular infections in pediatric patients are associated with significant morbidity and
the risk of functional and/or anatomical sequelae, often requiring surgical interventions. Pyogenic
sacroiliitis is a rare bacterial infection affecting the osteoarticular region, accounting for a small percentage
of all septic arthritis cases. The symptomatology is imprecise, leading to delayed diagnosis
and potential complications such as abscesses, sepsis and joint deformities. Currently, nuclear magnetic
resonance is the most useful diagnostic method due to its relatively easy accessibility and high
sensitivity. Initiating appropriate antibiotic treatment results in a rapid regression of symptoms. We
present the clinical case of a school- aged patient treated at a hospital in Bogotá, Colombia. The patient
exhibited symptoms indicative of pyogenic sacroiliitis, suspected based on the anamnesis and
physical examination, and later confirmed through imaging and microbiological culture.
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References
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